Sudden Abdominal Pain: A Unique Case of Metastatic Mixed Neuroendocrine and Adenocarcinoma of the Colon

Authors

  • Swetha Paduri Department of Internal Medicine, Rosalind Franklin University of Medicine Author
  • Nehal Patel Department of Internal Medicine, Rosalind Franklin University of Medicine Author
  • Nitish S Nandu Department of Internal Medicine, Rosalind Franklin University of Medicine Author
  • Capt. Paul Roach Department of Internal Medicine, Rosalind Franklin University of Medicine Author
  • Mukta Pant-Purohit Department of Internal Medicine, Rosalind Franklin University of Medicine Author
  • Peter Morawieck Department of Internal Medicine, Rosalind Franklin University of Medicine Author
  • Aravind Kuchkuntla Department of Internal Medicine, Rosalind Franklin University of Medicine Author

DOI:

https://doi.org/10.47363/JONRR/2021(2)135

Keywords:

Neuroendocrine, Adenocarcinoma

Abstract

A healthy 48-year-old male with no significant or pertinent medical history presented with complaints of sudden, progressively worsening severe right lower quadrant (RLQ) pain over the course of two days. He denied any other constitutional symptoms. A palpable mass was noted in the RLQ. Laboratory findings were consistent for anemia and CEA and CA 19-9 markers were normal. CT of the abdomen revealed a heterogeneous exophytic mass in the RLQ measuring 9.8 cm x 7.9 cm x 12.1 cm, colonic intussusception, and liver metastases.

Author Biographies

  • Swetha Paduri, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine

  • Nehal Patel, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine

  • Nitish S Nandu, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine 

  • Capt. Paul Roach, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine 

  • Mukta Pant-Purohit, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine 

  • Peter Morawieck, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine 

  • Aravind Kuchkuntla, Department of Internal Medicine, Rosalind Franklin University of Medicine

    Department of Internal Medicine, Rosalind Franklin University of Medicine 

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Published

2021-05-19